Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatricare of Northern Virginia, PC

Organization Pediatrics Physician · NPI 1104994623

Pediatricare of Northern Virginia, PC is a Pediatrics Physician in Manassas, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8640 Sudley Rd Ste 306
Manassas, VA 20110-4420
Phone: (703) 330-3939
Fax: (703) 331-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1104994623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Giancola — President · (703) 330-3939
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8640 Sudley Road, Suite 306, Manassas, VA 20110-4404

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